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The text says: "fear" Please let me know if you need any further assistance.

I am 28 years old, and I have the following problem or concerns:

I have never had any issues with my heart. All EKGs done in the past few years have been normal, including multiple ones from 2006-2008 and one in 2007 while in a psychiatric facility. All blood tests have also been normal. In early 2011, my last EKG was also normal. It has been two years since my last EKG. About a year ago, I started experiencing occasional heart palpitations and the feeling that my heart was skipping a beat. I should mention that during this time, I had to cope with a move and the death of a beloved pet. I do not feel dizzy or anything like that, I can walk normally, climb hills, and have a good complexion. My heart sounds good when listened to. My doctor, whom I have been seeing for four years, says there is nothing wrong, but he has not performed any further tests since I started experiencing symptoms. My previous doctor also said I never had any heart issues and told me to forget about it. When I explain my symptoms to my doctor, he always suggests seeing a psychologist or a neurologist for new antidepressants. I am currently taking 30mg of citalopram and no other medication. He says that everything is fine organically and there is nothing more he can do, but my symptoms have only been present for a year, and he has not conducted any further tests since. I feel misunderstood and sad, and I am afraid for my heart as I am also a hypochondriac. What should I do? Sometimes the symptoms go away, but then the heart palpitations and skipping return.

Dr. med. Kathrin Hamann

Good evening,

Did you not receive my response?

Response from this evening at 10:00 PM:

Good evening,
I just received your question and would like to help.

From what you describe, it sounds like a fear of heart disease. Your heart has been thoroughly examined and nothing abnormal was found.

Your fear that something is wrong can raise your heart rate, which is completely normal. You listen to yourself and feel the faster pulse, which worries you and increases your anxiety. This is the typical vicious cycle of heart disease anxiety.

I would advise you to consult your neurologist to adjust the therapy. In any case, your Citalopram should be reconsidered, to see if a change would be helpful.

Do you have any questions about this? I am happy to help.

All the best and a speedy recovery!

Best regards,

Dr. K. Hamann

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Dr. med. Kathrin Hamann

Dr. med. Kathrin Hamann

München

Seit mehr als 20 Jahren bin ich in der Medizin tätig. Als Fachärztin für Allgemeinmedizin helfe ich in meiner Praxis meinen Patienten.

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